This is a 44 year old woman with deflated breasts after child bearing that presented with interest in breast augmentation. On exam, she had small A cup breasts with grade 1 breast ptosis. She sized herself to about a 375 ml high profile implant based on in office sizing and 3-D imaging. She underwent a dual plane breast augmentation though an infra-mammary (IMF) incision. She did very well after surgery with minimal bruising and swelling. At 6 months after surgery, her implants are settling nicely and she is very happy.